Ophalmic Surgery and PathologyI was asked about ROP and an interesting ques was how neonatologists
help in preventing ROP. I was also asked in detail about the theories of
ROP development especially the spindle theory. I was given a cor.marker
used for RK and asked about the procedure and newer procedures in refr.
Surgery. I was shown photos of a corneo-scleral tear and asked to manage.
Photos of a lady with restricted upgaze and history of trauma and the management
especially the types of grafts used in repair of orbital floor fractures.

Ophthalmic Medicine Lens induced glaucoma and angle closure glaucoma with photos shown.
One of the questions asked was the differences btwn the proteins in phacolytic
& phacoanaphylactic glau.I was shown a photo of a young girl with congenital
ptosis and further questions on that. Also what would I think of if there
was restricted extraocular movement. There were questions on fungal &
other keratitis with management, culture media and intravitreal drugs in
endophalmitis.

General medicine in relation to ophalmology.
The medical viva was mostly on painful ophthalmoplegia which went on
to mucormycosis and the mechanism of action of the fungus. Also I was asked
about pulmonary embolism and ventilation – perfusion scan. Other questions
were on thyroid eye disease and its vision threatening complications and
their management.

Clinicals I had a superior temporal branch retinal vein occlusion, herpes zoster
ophthalmicus, V exotropia, trabeculectomies with PI & advanced cupping
of the disc, Duane’s syndrome, traumatic dislocation of the lens. Most
of the questions were on management and a few others are differences betwn
the magnification of a 90D & 20D, racial origin and the success of
trabeculectomis, absorption of timolol into the systemic circulation
( how much gets absorbed when pt. uses 0.5% twice? I didn’t know this!),
dry eye, preference of scleral fixated over ACIOL in a young patient.